Quiz about PED-BC

Question 1

A caregiver says a 9-month-old patient is crawling and frequently picks up items and puts them in the mouth. Which injury risk best fits this developmental stage?

Accepted Answer

Aspiration or poisoning from placing small objects or substances in the mouth.

Answer

Falling from a bed or changing surface when the infant begins to roll or scoot unexpectedly.

Answer

Falls, burns, and collisions that occur when a toddler can run, climb, and reach higher surfaces.

Answer

Injury from street traffic or water hazards related to older children being distracted during play.

Question 2

A pediatric patient’s body mass index (BMI) percentile dropped from the 96th to the 92nd percentile on the growth chart. How should the nurse interpret this change?

Accepted Answer

Moved from obesity to overweight based on BMI percentile categories.

Answer

Moved from overweight to obesity based on BMI percentile categories.

Answer

Remained in obesity because any BMI at or above the 85th percentile meets the definition of obesity.

Answer

Remained in overweight because both BMI percentiles are below the 95th percentile.

Question 3

When using the PICOT framework to turn a pediatric nursing care uncertainty into an answerable clinical question for evidence-based practice (EBP), what does the letter T specify?

Accepted Answer

The time period used to measure the outcome.

Answer

The population or patient problem of interest.

Answer

The intervention being considered.

Answer

The comparison intervention or usual approach.

Question 4

During a family assessment for an adolescent patient, the caregivers share that the oldest child is 16 years old and is asking for more independence. Which RN intervention best fits Duvall’s Stage V-Families with Teenagers?

Accepted Answer

Offer anticipatory guidance that supports adolescents developing increasing autonomy, assists parents to refocus on midlife marital and career issues, and introduces a shift toward concern for the older generation.

Answer

Provide teaching on integrating infants into the family unit, accommodating new parenting and grandparenting roles, and maintaining the marital bond.

Answer

Provide counseling that supports socializing children and helps parents and children adjust to separation.

Answer

Provide information that supports children developing peer relations and helps parents adjust to their children’s peer and school influences.

Question 5

During a well visit, a school-age patient becomes quiet when the nurse asks about a mole. Which statement best indicates the patient has incorporated a label from a significant other into body image?

Accepted Answer

“My caregiver calls it an ‘ugly mole,’ so I do too.”

Answer

“Could this mole affect how my body works inside?”

Answer

“Kids at school mention it, but I’m not upset.”

Answer

“It’s on my shoulder; it’s about this size.”

Question 6

A family member asks why a patient with Down syndrome and a relative with sickle cell anemia have different genetic causes. Which nurse response best explains the difference?

Accepted Answer

Chromosome abnormalities involve numeric and large structural abnormalities of autosomes that typically affect large numbers of genes, whereas a single-gene disorder is caused by an abnormality within a gene or in a gene’s regulatory region and displays a Mendelian pattern of dominant or recessive inheritance.

Answer

Chromosome abnormalities are caused by an abnormality within a gene or in a gene’s regulatory region and display a Mendelian pattern of dominant or recessive inheritance, whereas single-gene disorders involve numeric and large structural abnormalities of autosomes that typically affect large numbers of genes.

Answer

Chromosome abnormalities are limited to microdeletion or microduplication of smaller chromosome segments, whereas a single-gene disorder is caused by an abnormality within a gene or in a gene’s regulatory region and displays a Mendelian pattern of dominant or recessive inheritance.

Answer

Chromosome abnormalities involve numeric and large structural abnormalities of autosomes that typically affect large numbers of genes, whereas single-gene disorders are limited to microdeletion or microduplication of smaller chromosome segments.

Question 7

A 5-year-old patient is crying when a blood pressure (BP) reading of 124/78 mmHg is obtained. Previous BP values documented at earlier health visits were within normal limits. Which documentation is most appropriate?

Accepted Answer

Record the BP and note that the patient was crying, then interpret the value by comparing it with age-appropriate normal values and the patient’s previous health-visit readings.

Answer

Notify the healthcare provider that the patient has hypertension based on this single BP reading.

Answer

Do not record the BP because crying makes the value unusable; obtain the remaining physiologic measurements instead.

Answer

Record the BP without mentioning the patient’s behavior, and interpret it using adult normal ranges.

Question 8

During otoscopy, the nurse notes the tympanic membrane is translucent and light pearly pink. Which light reflex finding is most consistent with this normal appearance?

Accepted Answer

A fairly well-defined, cone-shaped light reflex near the 5 or 7 o’clock position that points away from the face.

Answer

A sharp cone of light at the 12 o’clock position that angles toward the face.

Answer

A scattered, hazy reflection across the tympanic membrane without a distinct cone shape.

Answer

No visible light reflex along with distorted malleus landmarks or unusual prominence near the umbo.

Question 9

At the start of a health history interview, a parent or caregiver begins talking at length but the information is scattered and hard to follow. Which therapeutic communication technique is most appropriate to use first?

Accepted Answer

Start with a broad, open-ended question and use careful listening for clues and verbal leads.

Answer

Let the parent or caregiver continue without adding structure or redirecting.

Answer

Move immediately to carefully worded, detailed questions to secure an accurate history.

Answer

Redirect right away using guided questions to keep the parent or caregiver focused on the history.

Question 10

An infant is scheduled to receive DTaP-Hib and pneumococcal conjugate vaccine (PCV) intramuscular (IM) injections during the same visit. Which administration approach best minimizes injection pain during the encounter?

Accepted Answer

Administer DTaP-Hib before PCV using a rapid intramuscular (IM) injection without aspiration.

Answer

Administer PCV before DTaP-Hib using a rapid intramuscular (IM) injection without aspiration.

Answer

Administer DTaP-Hib before PCV using a slow intramuscular (IM) injection with aspiration.

Answer

Administer PCV before DTaP-Hib using a slow intramuscular (IM) injection with aspiration.

Question 11

At a 4-month well visit, which caregiver report best suggests fewer respiratory tract infections and gastrointestinal infections in an infant primarily fed human milk?

Accepted Answer

Caregiver reports no respiratory tract infections and no gastrointestinal infections in the past 4 months.

Answer

Caregiver reports two respiratory tract infections and one gastrointestinal infection in the past 4 months.

Answer

Caregiver reports one respiratory tract infection and two gastrointestinal infections in the past 4 months.

Answer

Caregiver reports three respiratory tract infections and one gastrointestinal infection in the past 4 months.

Question 12

A newborn patient with neonatal abstinence syndrome is receiving prescribed oral morphine. Finnegan Neonatal Abstinence Scoring System scores decreased from 12 to 9 to 6 over 24 hours. Which RN action is appropriate?

Accepted Answer

Administer morphine as prescribed and continue Finnegan scoring as ordered.

Answer

Withhold the scheduled morphine dose and complete another Finnegan score first.

Answer

Contact the healthcare provider to request an increase in the morphine dose.

Answer

Start discharge preparation now because the scores improved over 24 hours.

Category	Details
Exam Description	A comprehensive certification exam for registered nurses specializing in pediatric nursing.
Credential Earned	Pediatric Nurse – Board Certified (PED-BC).
Eligibility Requirements	Active RN license with at least 2 years of full-time practice as a registered nurse, a minimum of 2,000 hours of clinical experience, and 30 hours of continuing education in pediatric nursing completed within the past 3 years.
Completion Time	3 hours.
Subjects Covered	Assessment and diagnosis, planning, implementation and evaluation.
Number of Questions	Approximately 150 multiple-choice questions, including both 125 scored and 25 unscored (pretest) items.
Exam Format	Computer-based, multiple-choice examination.
Exam Proctoring	Offered at designated testing centers.
Recertification Details	Required every 5 years and includes documentation of ongoing professional development.
Pass/Fail Rates	Pass rates fluctuate each year, with an average of about 77%.
Difficulty Level	Hard.
Study Material	BoardCerts PED-BC Exam Prep, which follows exam blueprint

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